Lee, Gary Stewart
Lee, Gary Stewart is an individual health care provider with primary practice located at 42808 Christy St Ste 216 , Fremont CA 94538-3119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Lee, Gary Stewart can be contacted via phone (408) 900-8838.Contact Information
Primary practice address
42808 Christy St Ste 216
Fremont CA 94538-3119
Phone: (408) 900-8838
Fax: (408) 962-0235
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G61379 | California |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | G61379 | California |
Profile Details
NPI number | 1710943113 |
---|---|
LBN Legal business name | Lee, Gary Stewart |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Oct 17th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710943113 | NPPES |
California | MEDICAID | 00G613790 |
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